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This is VAERS ID 1262561

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1262561
VAERS Form:2
Age:59.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-02
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Offered appointment, refused.
CDC 'Split Type':

Write-up: Worse headache of her life. No history of headaches. Started on 4/21/21


Changed on 5/7/2021

VAERS ID: 1262561 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-02
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Offered appointment, refused.
CDC 'Split Type':

Write-up: Worse headache of her life. No history of headaches. Started on 4/21/21


Changed on 5/14/2021

VAERS ID: 1262561 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-02
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Offered appointment, refused.
CDC 'Split Type':

Write-up: Worse headache of her life. No history of headaches. Started on 4/21/21

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1262561&WAYBACKHISTORY=ON


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